Perioral dermatitis is an acne-like condition of unknown cause. Some possible causes are the utilization of topical corticosteroid creams, cosmetic products, oral contraceptives, fluoride and anti-tartar ingredients in dental products, and it tends to occur in those prone to eczema.
Who's at risk?
It is usually seen in women ages 16–45, but men are often affected also . Children can also be affected (ages 7 months to 13 years). It is more common in developed countries.
Signs and Symptoms
Small red bumps or tiny pus-filled lesions (pustules) appear round the mouth, often with a transparent area between the lip and therefore the rash. The bumps can also occur near the eyes and nose. There can also be dry or flaky skin in these areas.
Ø Stop all face creams, lotions, cosmetics, and sunscreens being used.
Ø Stop any dental products with fluoride and anti-tartar ingredients until the rash has resolved, and then try a different dental product.
Ø Wash with warm water alone until the rash improves, and then use a soap substitute to clean your face.
When to Seek Medical Care
If the self-care measures aren't helping after 4–6 weeks, seek medical advice.
Treatments Your Physician May Prescribe
Taking oral or topical antibiotics for a couple of weeks may provide effective treatment. Azelaic acid may be a topical product which will be prescribed. Sometimes the condition recurs after treatment is stopped, but an equivalent therapy could also be repeated as required.
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